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Missouri rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.10 / $240.10 / $319.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.10 / $248.83 / $379.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.29 / $307.29 / $307.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.64 / $481.57 / $2,117.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.47 / $242.12 / $371.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $273.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $199.44 / $291.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.52 / $369.64 / $2,218.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.90 / $228.81 / $557.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.90 / $228.81 / $327.41